Chicago Mental And Lifewellness Institute

LBN: Chicago Mental And Lifewellness Institute
Chicago Mental And Lifewellness Institute is an health care organization with primary practice located at 4645 S King Dr , Chicago IL 60653-4148. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Chicago Mental And Lifewellness Institute can be contacted via phone (773) 439-9748, or through Tillman, Jimalita via phone (773) 439-9748.

Contact Information

Primary practice address
4645 S King Dr Chicago IL 60653-4148
Phone: (773) 439-9748
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tillman, Jimalita
Phone: (773) 439-9748

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1013507433
LBN Legal business name Chicago Mental And Lifewellness Institute
DBA Doing business as
Authorized official Tillman, Jimalita
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2021
Last updated Mar 31st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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